Therapists in Cincinnati, OH

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Photo of Sophia Carey, Licensed Professional Counselor, LPC
Sophia Carey
Licensed Professional Counselor, LPC
3 Endorsed
Cincinnati, OH 45208
I love working with a wide array of populations- children 5 and older, teenagers, young adults, and Mothers working through trauma-related issues, anxiety, depression, ADHD, low self-esteem/self-worth, grief, relationship issues, perinatal and postpartum depression, gender dysphoria, and general difficult life adjustment issues.
I love working with a wide array of populations- children 5 and older, teenagers, young adults, and Mothers working through trauma-related issues, anxiety, depression, ADHD, low self-esteem/self-worth, grief, relationship issues, perinatal and postpartum depression, gender dysphoria, and general difficult life adjustment issues.
(513) 434-6982 View (513) 434-6982
Photo of Sara E. Blakeslee Salkil, Marriage & Family Therapist, PhD, LMFT, IMFT-S
Sara E. Blakeslee Salkil
Marriage & Family Therapist, PhD, LMFT, IMFT-S
Cincinnati, OH 45236
I am accepting couples at this time. I offer treatment from a strengths-based, collaborative approach. The models of therapy I utilize take into account gender and ethnocultural factors, with an emphasis on emotional attachment and responsiveness in your family relationships.
I am accepting couples at this time. I offer treatment from a strengths-based, collaborative approach. The models of therapy I utilize take into account gender and ethnocultural factors, with an emphasis on emotional attachment and responsiveness in your family relationships.
(513) 540-4569 View (513) 540-4569
Photo of Olivia Bellas, Counselor, CT
Olivia Bellas
Counselor, CT
1 Endorsed
Cincinnati, OH 45212
I work with clients across the lifespan and specialize in trauma, addiction recovery, anxiety, and depression. I take a holistic approach to counseling, believing that drawing from multiple therapeutic modalities allows me to meet each client’s unique needs. My work is strongly informed by DBT-based skills and person-centered therapy, with a focus on collaboration, growth, and self-compassion. Together, we will work to build coping skills, foster stability, reconnect with hope, and lay the foundation for meaningful, long-term improvement in mental health. The work isn’t always easy, but you won’t have to do it alone.
I work with clients across the lifespan and specialize in trauma, addiction recovery, anxiety, and depression. I take a holistic approach to counseling, believing that drawing from multiple therapeutic modalities allows me to meet each client’s unique needs. My work is strongly informed by DBT-based skills and person-centered therapy, with a focus on collaboration, growth, and self-compassion. Together, we will work to build coping skills, foster stability, reconnect with hope, and lay the foundation for meaningful, long-term improvement in mental health. The work isn’t always easy, but you won’t have to do it alone.
(513) 450-7251 View (513) 450-7251
Photo of Lori Beth Haggard, Clinical Social Work/Therapist, MSW, LISW
Lori Beth Haggard
Clinical Social Work/Therapist, MSW, LISW
Online Only
I am a Licensed Clinical Social Worker with a Master’s level certification in Addiction Studies. My specialties in psychotherapy include providing therapeutic services for adults and teens 12 and older, working with survivors of domestic violence, and treating individuals with substance abuse disorders. I also help clients with issues including intimate partner violence, depression, anxiety, responding to anger, life transitions, and low self-esteem.
I am a Licensed Clinical Social Worker with a Master’s level certification in Addiction Studies. My specialties in psychotherapy include providing therapeutic services for adults and teens 12 and older, working with survivors of domestic violence, and treating individuals with substance abuse disorders. I also help clients with issues including intimate partner violence, depression, anxiety, responding to anger, life transitions, and low self-esteem.
(859) 295-5168 View (859) 295-5168
Photo of Christina Coletta, Clinical Social Work/Therapist, MSW, LSW
Christina Coletta
Clinical Social Work/Therapist, MSW, LSW
1 Endorsed
Cincinnati, OH 45242
As a trauma-informed therapist, I am committed to creating a safe and supportive space where healing and growth can flourish. I work with individuals, couples, and families, helping them navigate trauma, anxiety, depression, life transitions, and relationship challenges. My person-centered, direct yet compassionate approach is integrated with Cognitive Behavioral Therapy (CBT), Internal Family Systems, and somatic techniques to support your journey toward self-discovery and well-being. I understand that every person’s story is unique, and I tailor my methods to meet your specific needs and goals.
As a trauma-informed therapist, I am committed to creating a safe and supportive space where healing and growth can flourish. I work with individuals, couples, and families, helping them navigate trauma, anxiety, depression, life transitions, and relationship challenges. My person-centered, direct yet compassionate approach is integrated with Cognitive Behavioral Therapy (CBT), Internal Family Systems, and somatic techniques to support your journey toward self-discovery and well-being. I understand that every person’s story is unique, and I tailor my methods to meet your specific needs and goals.
(513) 540-4121 View (513) 540-4121
Photo of Sara Mitchell, Licensed Professional Counselor, MS, LPC, LICDC, CCTP-II
Sara Mitchell
Licensed Professional Counselor, MS, LPC, LICDC, CCTP-II
Cincinnati, OH 45255
I work with individuals who are ready to grow beyond anxiety, depression, trauma, and substance-related challenges. With nearly a decade of experience, I use a blend of person-centered therapy, mindfulness, and CBT to help create meaningful, lasting change. Therapy is a supportive space to explore both past and present experiences, build self-awareness, restore emotional balance, and develop healthier ways to cope and thrive.
I work with individuals who are ready to grow beyond anxiety, depression, trauma, and substance-related challenges. With nearly a decade of experience, I use a blend of person-centered therapy, mindfulness, and CBT to help create meaningful, lasting change. Therapy is a supportive space to explore both past and present experiences, build self-awareness, restore emotional balance, and develop healthier ways to cope and thrive.
(513) 951-6912 View (513) 951-6912
Photo of Chris Sheehan - Chris Sheehan, Inner Strength Therapy LLC, Founder, Licensed Professional Counselor, MA, LPC
Chris Sheehan, Inner Strength Therapy LLC, Founder
Licensed Professional Counselor, MA, LPC
4 Endorsed
Cincinnati, OH 45208
From the outside, it may look like you’ve got it all. But inside? You're struggling: grappling with big changes, living with the lasting impact of past experiences, or deciding what the next step needs to be in your relationship. It may be hard to even remember life without these challenges, but you know that you didn't used to feel this overwhelmed, sad, stuck, lonely & stressed. I specialize in working with adults with relationship issues, anxiety, stress, grief, trauma, anger, or facing changes including divorce, parenthood, empty nest & more. I believe you'll realize you are stronger than you think, and YOU CAN do hard things!
From the outside, it may look like you’ve got it all. But inside? You're struggling: grappling with big changes, living with the lasting impact of past experiences, or deciding what the next step needs to be in your relationship. It may be hard to even remember life without these challenges, but you know that you didn't used to feel this overwhelmed, sad, stuck, lonely & stressed. I specialize in working with adults with relationship issues, anxiety, stress, grief, trauma, anger, or facing changes including divorce, parenthood, empty nest & more. I believe you'll realize you are stronger than you think, and YOU CAN do hard things!
(513) 447-6025 View (513) 447-6025
Photo of Rod Dunlap, Marriage & Family Therapist, LMFT
Rod Dunlap
Marriage & Family Therapist, LMFT
Online Only
Hi there, and thanks for stopping by. My name is Rod, and I am a passionate Independent Marriage and Family Therapist based in Ohio. I know finding the right therapist can feel overwhelming, and I hope this gives you a sense of who I am and how I work. Over the years, I’ve had the opportunity to support individuals, couples, kids, teens, and families through a wide range of life’s toughest challenges. Whether you're navigating something specific or just trying to find your footing, I’d be honored to walk alongside you in that process.
Hi there, and thanks for stopping by. My name is Rod, and I am a passionate Independent Marriage and Family Therapist based in Ohio. I know finding the right therapist can feel overwhelming, and I hope this gives you a sense of who I am and how I work. Over the years, I’ve had the opportunity to support individuals, couples, kids, teens, and families through a wide range of life’s toughest challenges. Whether you're navigating something specific or just trying to find your footing, I’d be honored to walk alongside you in that process.
(440) 739-6057 View (440) 739-6057
Photo of Jessica Carlin, Licensed Professional Clinical Counselor, MA, LPCC
Jessica Carlin
Licensed Professional Clinical Counselor, MA, LPCC
1 Endorsed
Cincinnati, OH 45236
Sometimes it feels like you're out of control. Your emotions are running the show. Later, you regret the things you've said or done in the heat of the moment. The good news is that emotional regulation is a skill that can be improved! You can develop skills to better recognize and regulate your emotions and deal with distressing thoughts and feelings. You can learn to respond thoughtfully to situations rather than just reacting. We can work together to develop your ability to be in the moment and enjoy life.
Sometimes it feels like you're out of control. Your emotions are running the show. Later, you regret the things you've said or done in the heat of the moment. The good news is that emotional regulation is a skill that can be improved! You can develop skills to better recognize and regulate your emotions and deal with distressing thoughts and feelings. You can learn to respond thoughtfully to situations rather than just reacting. We can work together to develop your ability to be in the moment and enjoy life.
(513) 570-4040 View (513) 570-4040
Photo of Phillip Roberto, Clinical Social Work/Therapist, LISW
Phillip Roberto
Clinical Social Work/Therapist, LISW
Cincinnati, OH 45226
Something has brought you here. Maybe life looks fine on the outside, but something underneath has gone unattended. Or maybe things aren't fine at all — the concern is real. Either way, you've likely been managing it on your own. That capacity — to push through, to keep going — is strong. It's also sometimes what keeps us from deeper healing. My clients range widely — high-achievers and those who wouldn't claim that word, people who value privacy, those in a hard spot. What they share is a readiness to finally meet what's going on inside. I practice the IFS model of therapy. Whatever brings you here, I welcome the conversation.
Something has brought you here. Maybe life looks fine on the outside, but something underneath has gone unattended. Or maybe things aren't fine at all — the concern is real. Either way, you've likely been managing it on your own. That capacity — to push through, to keep going — is strong. It's also sometimes what keeps us from deeper healing. My clients range widely — high-achievers and those who wouldn't claim that word, people who value privacy, those in a hard spot. What they share is a readiness to finally meet what's going on inside. I practice the IFS model of therapy. Whatever brings you here, I welcome the conversation.
(513) 657-1912 View (513) 657-1912
Photo of Bryce Armantrout, Clinical Social Work/Therapist, MSW, LSW, LICDC
Bryce Armantrout
Clinical Social Work/Therapist, MSW, LSW, LICDC
1 Endorsed
Cincinnati, OH 45242
My personal struggles with drug/alcohol addiction, mental illness, and homelessness have shaped me into someone of whom I can be proud. I would love to be given the opportunity to help you on that same journey. I have several years experience working with teens, families, adults, veterans, and folks struggling with addiction, mild to severe mental illness, and homelessness. I have worked with a variety of diverse individuals across the spectrum of age, race, religion, socioeconomic status, sexual orientation, and gender identity. Please, if you are living with pain and wish to fight back, allow me to be a companion on that journey.
My personal struggles with drug/alcohol addiction, mental illness, and homelessness have shaped me into someone of whom I can be proud. I would love to be given the opportunity to help you on that same journey. I have several years experience working with teens, families, adults, veterans, and folks struggling with addiction, mild to severe mental illness, and homelessness. I have worked with a variety of diverse individuals across the spectrum of age, race, religion, socioeconomic status, sexual orientation, and gender identity. Please, if you are living with pain and wish to fight back, allow me to be a companion on that journey.
(513) 847-3633 x203 View (513) 847-3633 x203
Photo of Robin Doolittle, Counselor, MS, LPCC
Robin Doolittle
Counselor, MS, LPCC
Cincinnati, OH 45236
My Philosophy: I believe that therapy is a collaborative experience. We work together to compassionately examine and change Unhelpful Beliefs, Attitudes and Habits that are getting in your way. She also practices Life Coaching. Whether you have life stage challenges, questions about new roles or job changes, or just want to live a more productive life, I can guide you to create Goals that naturally motivate you. We develop Action Plans to help you attain your Ambitions that are in line with your Values. Finally, I practice Grief Therapy.
My Philosophy: I believe that therapy is a collaborative experience. We work together to compassionately examine and change Unhelpful Beliefs, Attitudes and Habits that are getting in your way. She also practices Life Coaching. Whether you have life stage challenges, questions about new roles or job changes, or just want to live a more productive life, I can guide you to create Goals that naturally motivate you. We develop Action Plans to help you attain your Ambitions that are in line with your Values. Finally, I practice Grief Therapy.
(844) 233-3895 View (844) 233-3895
Photo of Don Allensworth-Davies, Licensed Professional Counselor, LPC NCC
Don Allensworth-Davies
Licensed Professional Counselor, LPC NCC
Online Only
If you’re feeling stuck, burned out, defeated, or are barely holding things together — you’re not the only one. And more importantly, you don’t have to keep living this way. I work with adolescents and adults — especially men and LGBTQIA+ individuals — who are dealing with trauma, addiction, anxiety, and depression. Whether you're struggling to stay sober, weighed down by your past, or just trying to get through the day, we’ll focus on getting you unstuck and moving forward. My approach is straightforward and effective. I use CBT, DBT, EMDR, and ACT to help you understand what’s keeping you stuck, and help you find tools to change.
If you’re feeling stuck, burned out, defeated, or are barely holding things together — you’re not the only one. And more importantly, you don’t have to keep living this way. I work with adolescents and adults — especially men and LGBTQIA+ individuals — who are dealing with trauma, addiction, anxiety, and depression. Whether you're struggling to stay sober, weighed down by your past, or just trying to get through the day, we’ll focus on getting you unstuck and moving forward. My approach is straightforward and effective. I use CBT, DBT, EMDR, and ACT to help you understand what’s keeping you stuck, and help you find tools to change.
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Photo of Tony Fryer, Marriage & Family Therapist, IMFT, FTAI, EAP
Tony Fryer
Marriage & Family Therapist, IMFT, FTAI, EAP
1 Endorsed
Cincinnati, OH 45202
The bulk of my clients are couples. I work with a range of issues including Enhancing communication, Infidelity, Sexual Dysfunction, Blended Family issues, etc. The sessions will be very focused on clearly established client goals. Homework is given to couples every session. I am a very straight forward therapist and try help clients to tap into their own reserves to find better ways to live while also sharing the huge wealth of knowledge I have from my long experience. My web site is very informative and contains a link to my Blog. This will help you get to know me more!
The bulk of my clients are couples. I work with a range of issues including Enhancing communication, Infidelity, Sexual Dysfunction, Blended Family issues, etc. The sessions will be very focused on clearly established client goals. Homework is given to couples every session. I am a very straight forward therapist and try help clients to tap into their own reserves to find better ways to live while also sharing the huge wealth of knowledge I have from my long experience. My web site is very informative and contains a link to my Blog. This will help you get to know me more!
(513) 436-0525 View (513) 436-0525
Photo of Natasha Bhati, LPC Intern, BBA, CT
Natasha Bhati
LPC Intern, BBA, CT
Cincinnati, OH 45242
I’m Natasha, and I’m passionate about offering a genuine, caring presence where you can feel comfortable, understood, and supported as we work through life’s challenges together.
I’m Natasha, and I’m passionate about offering a genuine, caring presence where you can feel comfortable, understood, and supported as we work through life’s challenges together.
(513) 657-1830 View (513) 657-1830
Photo of Macey Windley, Counselor, LPCC
Macey Windley
Counselor, LPCC
3 Endorsed
Cincinnati, OH 45208
Have you ever felt like an imposter in school, work, or your relationships? Do you constantly live with the fear of being "found out"? What about striving for perfection in all aspects of your life? I know exactly what you're feeling: the never-ending cycle of self-criticism and anxiety. Navigating perfectionism-driven anxiety can be terrifying, and I don't want you to have to suffer this anymore. Holistic practices and Cognitive-Behavioral approaches can help reduce this anxiety tremendously.
Have you ever felt like an imposter in school, work, or your relationships? Do you constantly live with the fear of being "found out"? What about striving for perfection in all aspects of your life? I know exactly what you're feeling: the never-ending cycle of self-criticism and anxiety. Navigating perfectionism-driven anxiety can be terrifying, and I don't want you to have to suffer this anymore. Holistic practices and Cognitive-Behavioral approaches can help reduce this anxiety tremendously.
(513) 845-2302 View (513) 845-2302
Photo of Maria Charlene Morton, Licensed Professional Counselor, MA, LPCC, NCC, EMDR
Maria Charlene Morton
Licensed Professional Counselor, MA, LPCC, NCC, EMDR
Cincinnati, OH 45241
Another relationship down the tubes. You know what went wrong; it’s what always goes wrong. You don’t know why you keep getting involved with the same type of person. Sure, they have new names and faces, but for intents and purposes, they’re identical to everyone else you’ve ever dated. You keep telling yourself this time will be different, but it never is. And with each successive failure, you become more confident that you’ll never find love. Your heart has been battered and bruised so many times before, and you’re not sure you can take another disappointment. You’re ready to give up and resign yourself to a life of solitude.
Another relationship down the tubes. You know what went wrong; it’s what always goes wrong. You don’t know why you keep getting involved with the same type of person. Sure, they have new names and faces, but for intents and purposes, they’re identical to everyone else you’ve ever dated. You keep telling yourself this time will be different, but it never is. And with each successive failure, you become more confident that you’ll never find love. Your heart has been battered and bruised so many times before, and you’re not sure you can take another disappointment. You’re ready to give up and resign yourself to a life of solitude.
(513) 845-2960 View (513) 845-2960
Photo of Philip Snell, Licensed Professional Counselor, LPC
Philip Snell
Licensed Professional Counselor, LPC
1 Endorsed
Cincinnati, OH 45202
I have been there with recurring thoughts, anxieties, trouble getting out of bed, and relationship issues or fights that just keep repeating and leave me stuck all day. It's not something you want to face alone. I support people to reduce the current intensity of symptoms (grounding, coping, or strategies you have used in the past), before moving on to long-term work and reflection on deeper issues. My biggest success has been working with parents, men, anxiety, substance abuse and addiction, trauma, and relationship issues. I try to understand what happened and how it affected you so we can honor what you've done to survive
I have been there with recurring thoughts, anxieties, trouble getting out of bed, and relationship issues or fights that just keep repeating and leave me stuck all day. It's not something you want to face alone. I support people to reduce the current intensity of symptoms (grounding, coping, or strategies you have used in the past), before moving on to long-term work and reflection on deeper issues. My biggest success has been working with parents, men, anxiety, substance abuse and addiction, trauma, and relationship issues. I try to understand what happened and how it affected you so we can honor what you've done to survive
(513) 547-9858 View (513) 547-9858
Photo of Mariah Baldwin, Licensed Independent Social Worker, MSW, LISW
Mariah Baldwin
Licensed Independent Social Worker, MSW, LISW
1 Endorsed
Online Only
Hi there I am Mariah! I am a clinician who works with all ages, primarily focusing on adolescents, young adults, and adults grappling with anxiety, depression, PTSD, relationship issues, substance use disorders (SUD), and college students facing career obstacles. Additionally, I support individuals struggling with communication, boundary-setting, emotional regulation. Their objectives include developing coping mechanisms for mental health symptoms, enhancing communication and boundary-setting skills, managing emotions, securing employment or choosing a career path, understanding their identity.
Hi there I am Mariah! I am a clinician who works with all ages, primarily focusing on adolescents, young adults, and adults grappling with anxiety, depression, PTSD, relationship issues, substance use disorders (SUD), and college students facing career obstacles. Additionally, I support individuals struggling with communication, boundary-setting, emotional regulation. Their objectives include developing coping mechanisms for mental health symptoms, enhancing communication and boundary-setting skills, managing emotions, securing employment or choosing a career path, understanding their identity.
(216) 438-8460 View (216) 438-8460
Photo of Ashley Duke - Elite Supportive Living Services , Clinical Social Work/Therapist, LISW , LCSW
Elite Supportive Living Services
Clinical Social Work/Therapist, LISW , LCSW
1 Endorsed
Online Only
Coming to a realization about the way you have managed life has not served you to your highest benefit. Now you're at a juncture where you are ready to change the deep-rooted beliefs that has stunted your personal growth. You are feeling there is something more to your life or at least hoping there is something more, but your old thinking patterns, behaviors and feelings are blocking your desired outcome. You are ready to no longer envision your potential but yearn to take the proper steps towards it but unclear how. It is time to do something different to receive something different. It is your time to evolve.
Coming to a realization about the way you have managed life has not served you to your highest benefit. Now you're at a juncture where you are ready to change the deep-rooted beliefs that has stunted your personal growth. You are feeling there is something more to your life or at least hoping there is something more, but your old thinking patterns, behaviors and feelings are blocking your desired outcome. You are ready to no longer envision your potential but yearn to take the proper steps towards it but unclear how. It is time to do something different to receive something different. It is your time to evolve.
(513) 647-4900 View (513) 647-4900

See more therapy options for Cincinnati

How does your Therapist compare?

Number of Therapists in Cincinnati, OH

1,000+

Average cost per session

$140

Therapists in Cincinnati, OH who prioritize treating:

93% Anxiety
93% Social Anxiety
93% Health Anxiety
93% Driving Anxiety
87% Depression
73% Trauma and PTSD
73% Complex PTSD

Average years in practice

11 Years

Top 3 insurances accepted

84% Aetna
68% UnitedHealthcare UHC | UBH
66% Cigna and Evernorth

How Therapists in Cincinnati, OH see their clients

59% In Person and Online
41% Online Only

Gender breakdown

78% Female
20% Male
2% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Cincinnati?

Search for nearby therapists or counselors by inputting your city, town, or suburb; or zip code; or a provider’s name into the search bar. From there, you can filter providers by the issues they treat, cost, insurance, gender, and other factors to find providers who are well-suited to your needs. To navigate between locations within the same country, enter a new city or zip code into the search bar.

Learn more about how to find a therapist

Is everyone in the Psychology Today Therapy Directory a licensed therapist?

The Psychology Today directory lists providers who offer legitimate mental health services to the public, including psychologists, psychiatrists, social workers, and counselors.

Many have been licensed by the country or state where they practice; providers whose license or primary credential has been verified by Psychology Today are signified by a “Verified” symbol. Some clinicians or organizations provide services for which their state or country does not offer licenses, such as pastoral counseling. They may be selectively included without the “Verified” seal.

What’s the difference between a psychologist, a therapist, and a counselor?

Therapists, psychologists, and counselors are all licensed mental health professionals. In the US, psychologists have earned a doctoral degree. The terms “therapist” and “counselor” are used somewhat interchangeably, but generally therapists offer longer-term, mental health care, while counselors offer shorter-term care that may focus on one domain, such as marriage, career, or academic challenges.

Clients should consider factors such as insurance coverage and their primary reason(s) for seeking therapy to determine the type of professional best suited to their needs. Someone struggling with mental health challenges such as depression or anxiety, for example, may wish to seek out a clinical psychologist or therapist, while someone navigating career obstacles or marital upheaval may benefit from seeing a counselor who can offer short-term, targeted support.

What type of therapy is right for me?

The type of therapy best suited to a particular individual depends on several factors, including their primary reason for seeking therapy, their preferred timeline (some therapy types last for a set number of sessions, while others are open-ended), and their personality and preferences—some may prefer a more structured approach. For many individuals, multiple types of therapy could provide a good fit.

How much does therapy cost?

The cost of therapy depends on a number of variables, including location and the therapist’s experience and training. On average, a therapy session in the United States could cost between $100 and $200 or more. If you have insurance, the expense of mental health care is typically lower, but it varies based on your insurance plan details and whether you choose an in-network or out-of-network mental healthcare provider.

What are more affordable or low cost therapy solutions?

Many therapists offer sliding scale payments, usually on a limited number of slots, which consists in an agreement between the therapist and a client to pay a reduced rate. Therapists who provide such arrangements often consider the client's income or ability to pay, but the extent of the discount is ultimately at the therapist's discretion. Furthermore, while group therapy may have different goals and benefits compared to individual therapy, it can be a more affordable solution to address certain types of issues.

Is online therapy cheaper than in-person therapy?

Many therapists charge the same amount for online therapy as they do for in-person therapy—though clients may still find this cost-effective if it cuts down on their transportation costs. Health insurance plans often offer equivalent coverage for online and in-person therapy; indeed, in many places, they are legally required to do so. Text-based or on-demand therapy apps may be cheaper than traditional one-on-one psychotherapy; however, the practice may be less effective and is not likely to be covered by insurance.

Is online therapy a good option?

Therapy conducted online can be just as effective as in-person therapy, as long as there is a strong alliance between the client and the therapist. To find a therapist who provides telehealth services to clients in your area, click “Online Therapy” on the directory homepage and search by your city or town or your zip code.

Are therapy sessions confidential?

Confidentiality is a crucial part of the therapeutic relationship. Therapists in the United States are bound by the regulations set out by the Health Insurance Portability and Accountability Act of 1996 (HIPAA), which aims to protect sensitive health information. With very few exceptions, a therapist will only discuss their client with others when the client has given their written permission. The instances in which a therapist would be required to disclose personal information are: if a client poses a danger to themselves or others, if the therapist suspects the abuse of a child or an elderly or otherwise dependent adult, or if they are legally forced to by court order. These exceptions to the confidentiality agreement are usually discussed with a client before their first session.